368.5 Change of Category

When an applicant/recipient group becomes eligible for a different category of NMP, the CAO will apply the rules of the new category for which the group is eligible.  The CAO must not require a new application for any of the following changes:   

  55 Pa. Code ยง 181.41

 

Exception:  A recipient of NMP who needs Long-Term Care (LTC) facility services must fill out a PA 600 L, even if LTC is authorized in an NMP category.

 

When changing categories, the CAO will:

 

A change of category is effective the day after the end date of the advance notice period.

If a change in category leads to ineligibility for NMP, the CAO will close the NMP budget and determine eligibility for MNO.

 

Reminder: The CAO will consider whether an individual qualifies for Healthy Beginnings or Healthy Horizons.

 

Updated February 14, 2012, Replacing October 25, 2008